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Arkansas rates for HCPCS 28540

Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.23 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $208.87 / $263.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.54 / $210.54 / $252.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.19 / $255.69 / $283.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.26 / $167.26 / $167.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.14 / $292.54 / $338.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.93 / $244.75 / $370.45